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tv   CBS Evening News With Katie Couric  CBS  November 17, 2009 7:00pm-7:30pm EST

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and hotels struggling for business. some will go whole hog to get you to check in. captioning sponsored by cbs this is the "cbs evening news" with katie couric. >> couric: and good evening, everyone. as president obama continues his travels in asia, he's facing some political trouble back home. a cbs news poll out tonight shows his job approval is falling, it's 53% now, ten points lower than it was in june and his disapproval rating is up ten points. the president met in beijing today with his chinese counterpart and afterwards spoke about the growing cooperation between the two countries. but there is a lot that the two men don't agree on. our chief white house correspondent chip reid is traveling with the president in beijing. >> reporter: in beijing, president obama was honored by chinese president hu jintao at an elaborate state dinner.
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and treated to a tour of the forbidden city. but after hours of meetings where little progress was made, the two leaders put their wide differences on display. one of president obama's top priorities here was to prod china to open its markets to u.s. goods. >> this will lead to increased u.s. exports and jobs. >> reporter: president huh ignored the issue. instead, he took a swipe at the obama administration for imposing tariffs on chinese tires and other goods. speaking in the great hall of the people on tianamen square, where china brutally crushed a student rebellion 20 years ago, the president raised the issue of human rights, but only gently. >> we do not believe these principles are unique to america but rather they are universal rights. >> reporter: president hu stood expressionless as mr. obama spoke. critics say the president is soft pedaling human rights, fearful of angering the nation that has become america's banker. >> our relationship going
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forward will not be without disagreement or difficulty. >> reporter: and it won't get any easier when the president returns home thursday. a new cbs news poll shows the president's ratings are down on a range of issues. on afghanistan as he nears a decision on how many more troops to send, only 38%-- the lowest yet-- approve of his handling of the war. just 23% say the war is going well, also a new low, down from 35% in september. on the economy, more bad news. only 49% approve of his handling down from 57% in june. and while the white house insists about a million jobs have been created by the stimulus package, americans simply don't believe it. a mere 7% say the stimulus has already created jobs. 46% say jobs will be created eventually. 42% say it will never create jobs. before heading home, the president has one more stop: south korea. the top issues there are a new
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free trade agreement with south korea and doing something about north korea's nuclear weapons program. no major break throughs are expected. chip reid, cbs news, beijing. >> couric: and one more note from tonight's cbs news poll, this on the subject of health care reform. 61% of the americans we surveyed say people who have know health insurance should have the option of buying it from the government which is known as the so-called public option. now turning to the controversy over the new government guidelines for breast cancer screening. they say routine mammograms are not necessary for most women in their 40s. instead, women at low risk should not get screened until they're in their 50s and then every other year. but dr. jon lapook tells us this new recommendation is upsetting many patients and their doctors. >> reporter: across the web and throughout the country, the new guidelines are inciting anger and confusion. >> if the doctors are not going to go along with it, i don't think we can certainly convince our patients to go along with it either. >> reporter: dr. michael grant
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will continue suggesting knew routine mammography at 40 despite the experience of patients like roseanna sandlin. she started screening well before age 50. after an abnormal mammogram she underwent a sonogram and a needle biopsy. >> i was very nervous, anxious, you pray a lot, you talk to yourself. >> reporter: it turned out there was no cancer. false positives like hers led the task force to suggest new guidelines. about 90% of abnormal mammogram findings are benign. >> ma'am glam is going to turn out to be falsely positive involves anxiety, it involves additional imaging tests. >> reporter: the task force found starting mammography at age 40 rather than 50 leads to 60% more false positives. >> mammography is not as sensitive a tool in general in younger women because their breast tissue is more dense. >> reporter: each year, about 1.6 million get breast biopsies costing thousands of dollars
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each. with the vast majority turning out to be false alarms, critics charge the task force is more interested in saving money than lives. not true says this doctor. >> these recommendations have nothing to do with any kind of analysis that addressed cost effectiveness, cost effectiveness was not a part of the discussion. cost was not uttered in the room. >> reporter: we called medicare and the health insurance industry today. both told us there are no plans to change coverage for mammography. katie? >> couric: jon lapook, thank you. now we're joined by another member of our cbs news team, dr. jennifer ashton. jennifer, you're an ob-gyn. what are you hearing from your patients and what are you r you telling them? >> katie, my patients have so angry about this they feel almost personally attacked. they are afraid. they do think it's about cost and money and what i'm trying to tell them is that i share their frustrations and many of their feelings as a woman and as a woman's health advocate and at this point i am not telling them to deviate from their practices
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and their screening practices at this point. but, of course, with any patient we are taking an individual approach to every case. but that's not helping. they're, have very angry. >> couric: jon, you know the figures vary, but thousands of women between the ages of 40 and 50 are diagnosed with breast cancer every year in this country. so what about them? >> reporter: well, it's tricky, katie. because experts tell us that there are three possibilities. one is a cancer can be so slow growing that it doesn't matter that you pick it up early because it wasn't going to kill the person anyway. two, it can be very aggressive and picking it up early doesn't matter because it's just going to kill the person anyway. then three, and this happens, a mammogram done between 40 and 50 can save a person's life. >> couric: so we should clarify. the task force is saying... they're not telling women don't get a mammogram until you're 50. they're just saying it's not a blanket statement that they have to get one at 40, right? >> reporter: it's not a mandate
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to do it. they're saying you should discuss with your doctor the pros and cons. you can still get mammography starting at age 40 but they're no longer saying "we're going to do this for everybody." >> couric: jennifer, do you think okay's will ignore the recommendations and pretty much keep doing what they've been doing? >> i think the chances s that most of them will do that. on the patient end, katie, we're already seeing women pull back from their screening. we spoke to george washington university breast imaging center today and they reported that they had more women cancel their regular mammogram appointments today than ever before so i think we have not heard the end of this at all. >> couric: well doctors jennifer ashton and jon lapook, thank you so much to both of you. now to a first of a kind study about the cost of the obesity epidemic in this country. researchers found more than 30% of american adults last year were obese, costing the health care system nearly $80 billion. and over the next decade, the study project it is obesity rate will jump to 43%, costing $344
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billion, or one-fifth of total health care spending. more on this story now from our national correspondent jeff glor. >> reporter: the study says obesity is growing faster than any other public health problem in u.s. history. >> obesity and chronic disease is the leading driver of rising health care costs. so it's the biggest challenge that we face. >> reporter: an epidemic that is not only expanding our waistlines but our national budget. the $344 billion projection on obesity costs would amount to 21% of all money spent on health care by 2018. that's up from 9% we spend today. an obese person would spend an average of more than $8,000 a year on medical bills, up nearly $2, 500. >> finally in one package we see what it's really going to cost. >> reporter: since 1985, obesity levels have doubled in this country.
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dr. louis ceroneny says we're now seeing the size of the bills. >> we're seeing a veritable tsunami of health care costs all driven by obesity and its complications: diabetes, heart disease, cancer, and the more than 50 other illnesses. >> reporter: a person is considered obese if they're at least 30 pounds overweight. the report offers startling state-by-state projections. within ten years, six states will have populations where more than half of adults are obese. only one state-- colorado-- will have an obesity rate under 30%. >> it's a wakeup call. we need to find better solutions here and ways to engage people on diet, exercise, and nutrition. if we don't, we're not going to be able to control the growth in health care spending. >> reporter: the study says if the obesity rate stays at the current level, which is already high, katie, the country would save $200 billion a year by 2018. >> couric: jeff, most of us know
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this, but just to review, why are americans becoming so obese? >> reporter: well, bigger portions is one thing, more processed foods, less exercise. but it's one thing to diagnose this problem, another to cure it. so far that has not happened yet. >> couric: all right. jeff glor. jeff, thanks very much. coming up next here on the "cbs evening news," one group of workers is doing quite nicely in this recession. ironically, they run nonprofits. we'll follow the money right after this. (male announcer) if you've had a heart attack caused by a completely blocked artery, another heart attack could be lurking, waiting to strike. a heart attack caused by a clot, one that could be fatal. plavix, taken with other heart medicines goes beyond what other heart medicines do alone to provide greater protection against heart attack or stroke and even death by helping to keep blood platelets from sticking together and forming clots. ask your doctor about plavix,
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potent. proven. professional. olay professional pro-x. >> couric: when the economy took a nosedive, americans started watching their wallets, and charities were among the first to suffer. donations fell 2% last year, the first decline in more than two decades. and they're expected to drop even more this year. but while times are tough for nonprofits, some of the people who run them are earning bigger and bigger salaries. sharyl attkisson tonight follows the money. >> reporter: as head of the central carolinas division of united way, gloria pace king was known as a strong fund-raiser. she was also pretty good at looking out for number one. at united way, king pulled in a $380,000 salary and a $2.1 million retirement package. the surprising truth is, while compensation fell 9% for c.e.o.s at for-profit companies, their
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cousins in the charity world were making out quite nicely. their salaries on average increased by more than 6%. in the environmental category, wildlife conservation society's steve sanderson got a $100,000 raise to pull in a very civilized $938,000 compensation. under religion... >> will you pray? >> reporter: inspirational networks david cerullo earned an awe-inspiring $1.58 million. and in the children's category, chief scout roy williams retired with a package worth nearly $4 million. nonprofits don't have to pay taxes. some of them use the money for lavish executive pay instead of their mission. i.r.s. rules forbid excessive compensation, but that's subjective, and the tax man isn't known for going after charities. >> they say to themselves "if we don't give this person $700,000, that means that the job's not
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important and he can't do a good job." that's the thinking. and it's appalling. >> reporter: even some small inefficient charities are digging deep for their c.e.o.s. one reason they get zero out of four stars from the nonprofit evaluator charity navigator. the association for firefighters and paramedics spends more on their president's six-figure salary than on services. the committee for missing children spends only 14% of its budget helping kids. the rest is spent on fund-raising and administration, including the c.e.o.'s salary. back in charlotte, the united way has made some big changes. >> we are aware that these are people's hard-earned dollars. >> reporter: jane mcintyre was hired in august after king and her colossal paycheck were forced out. you were earning a lot less money than your predecessor. >> true, that would be correct. >> reporter: and you are happy with the salary? >> oh, it's a wonderful salary. >> reporter: $142,000 to be exact, less than average for
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comparable nonprofits but mcintyre says it's more than enough when you're in it to help others more than to help yourself. sharyl attkisson, cbs news, charlotte, north carolina. >> couric: and now a follow-up to our reports last week from our chief investigative correspondent armen keteyian about rape cases going unprosecuted. armen revealed that 20,000 rape kits nationwide sit untested. now, in response to our reports, the police in san antonio announced a new policy to test all rape kits in cases past and future in which the victim and the attacker are strangers. the results will be submitted to a national d.n.a. database. we'll be right back. thermacare.
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the only one that has bifidus regularis and is clinically proven to help regulate your digestive system. activia light. ♪ activiaaa! >> couric: in beijing today, president obama said china helped pull the united states out of the recession by importing u.s. products. celia hatton tells us there there's a whole new generation of chinese consumers ready to shop till they drop. >> reporter: sam's club is drumming up business in the southern chinese city of guangzhou. this store opening marks the 173rd in china for parent company wal-mart in just 13 years. enthusiasm for spending money here is pulling this u.s. company and many more through the global recession. it's american products day. the store's 10,000 customers are celebrating snapping up u.s. brands from vitamins to laundry detergent.
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clearly capitalism's aa hit in communist china. older generations still save half their paychecks, but that trend is reversing as a nation of young shopaholics is born. salaries for young urban chinese have almost tripled in less than a decade, from $858 to $2,300 a month. but people in their 20s and 30s save next to nothing. instead they're on a spending spree. the best indicator in the number of credit cards is exploding from 13 million cards in 2005 to 190 million now. american businesses are riding high on the buying boom thanks to people like zhao mengyao. she drives a buick, chats on an iphone, eats at mcdonald's and wears nikes. >> ( translated ): brands are really important to me, and then i look at the price tag. >> reporter: it seems every major american company is digging its way into china. caterpillar has had a bumpy ride
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because of the u.s. recession, but in china, its revenues have grown from $700,000 in 2005 to $2.6 billion this year. the n.b.a.'s 30,000 chinese retailers are selling more that this year than last. nike entered china in 1980, now it's the country's number one sports brand. revenues went up 22% in china this year, compared to just 2% in the u.s. k.f.c. and pizza hut are also feeding chinese appetites faster than ever before. they're opening up one or two restaurants a day in china. >> oh, we think this is the best growth opportunity in the 21st century, maybe even beyond. >> reporter: but perhaps no one is as thankful for china's big spenders as general motors. the company faced bankruptcy earlier this year in the u.s., but it's never been hotter here where first time drivers are still exciting to get behind the wheel of a brand new american
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car. still, experts caution it's just as hard for u.s. companies to succeed in china as it is become home. >> if you are ready to operate in an environment that is chaotic, that is brutal, but that has real opportunity, that's when you should come over here. but don't come over here with candy corn dreams about some beautiful pot of gold that awaits you here. >> reporter: getting that pot of gold requires work. but american companies that haven't expanded to china may regret missing out on the great chinese shopping spree. celia hatton, cbs news, beijing. >> couric: here at home, senator robert byrd of west virginia, who turns 92 on friday, is about to set a record. tomorrow he becomes the longest-serving member of congress ever. 20,774 in the house and senate. byrd began his congressional career on january 3, 1953. and coming up next, with a lot of rooms to fill, you won't believe the perks some hotels
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are offering these days. the holidays mean food. and some foods mean gas. take beano before you eat to prevent gas 0r take a gas reliever after you get gas and bloat up like a cartoon character floating over 5th avenue. take beano before, and there'll be no gas. is the parade on?
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when sixty percent off is at stake, so today, she's talking to her doctor about overactive bladder. teri decided she's tired of always stopping to "go", so today, she's talking to her doctor, too. if you have overactive bladder symptoms, today is the day to talk to your doctor and ask about prescription toviaz. one toviaz pill a day significantly reduces sudden urges and accidents over 24 hours, all day and all night. plus, toviaz comes with a simple plan with tips on food and drink choices and training your bladder. if you have certain stomach problems or glaucoma, or cannot empty your bladder, you should not take toviaz. toviaz can cause blurred vision and drowsiness so use caution when driving or doing unsafe tasks. the most common side effects are dry mouth and constipation. today, laura decided it was time she learned how to show that bladder who's boss. talk to your doctor and ask if toviaz is right for you. how to show that bladder who's boss. that's why i use covergirl's simply ageless makeup
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recession has a lot of people cutting back on travel, and that's hurting hotels. ben tracy tells us they're reluctant to cut their rates, but check out what some are doing to get you to check in. >> reporter: when daemon clark and kerry height checked into the hard rock hotel in san diego, they didn't come for the music or even the tranquility of the couples massage. they came for their ticket to ride. for $239 per night, they got a room, free breakfast and a haarly to take in the coastline. >> i don't think we would have stayed at the hard rock if it wasn't for that package. it wouldn't have dawned on us. >> reporter: hotels are adding on everything from surfing and rollerblading lessons to roller coasters rides. the industry is getting creative because it has to. nationwide, occupancy has dropped from 65% in 2007 to 56% so far this year. average room rates have dropped from $106 in 2008 to an estimated $96 this year. >> our choices today are porsche
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boxer, b.m.w. z-4. >> reporter: at the beverly hills four seasons where packages start at $465, you now have your choice of some pretty hot wheels. a way to lure top-end tourists who may be cutting costs. >> they have been forced to go to other hotels and we wanted that customer back. >> reporter: hotels are offering unusual perks like this one because they don't want to lower room rates. in this economy they feel like they have to offer a better deal. >> instead of discounting, we'd rather offer a better experience and enhance their stay. >> it's going to go right up here. >> reporter: dave katzberg is getting a deal that will literally last a lifetime. at the hotel irwin in venice beach he booked the ink and stay package. for $399 he got a room, a bottle of a ta key la to dull the pain of his tattoo. that's his dog daisey. >> i've wanted a hotel forever.
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>> reporter: so there's deals to be had even if they're not entirely a free raid. ben tracy, cbs news, los angeles. >> couric: i'm katie couric, thanks for watching. see you tomorrow. for the latest news online, make sure grow to good night.
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